License holder summary

ROY ELMER KINGMA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ROY ELMER KINGMA is 12387 Sandalwood Drive, Demotte IN 46310. This licensed professional license is not current. The license was granted 05/31/1986 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

ROY ELMER KINGMA
Controlled Substance Registration - Physician
License number
01020470B
Date granted
05/31/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired Non-Renewable
Address
12387 Sandalwood Drive, Demotte IN 46310
indianalicensing.org
ID 5843598
LAST UPDATED 2024-04-21 06:14:48 UTC

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